Individual
PRATISHTA MAHESH KUMAR JAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 10TH ST APT 309, JERSEY CITY, NJ 07302-1418
(415) 530-8606
Mailing address
180 10TH ST APT 309, JERSEY CITY, NJ 07302-1418
(415) 530-8606
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02854200
NJ
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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